Table 1.
Vascular size | Clinical disease | Surgical repair | Autologous graft | Synthetic graft | ||
---|---|---|---|---|---|---|
Material* | Diameter | Accessory processing | ||||
Large | Aortic aneurysm Aortic dissection |
Replacement | Not available | Polyethylene terephthalate (Dacron) (7) Expanded polytetrafluoroethylene (ePTEE) (12) Polyurethane (13) |
18–30 mm | Bovine gelatin sealing of outer surface (leakage prevention) Heparin coating of inner surface (anticoagulation) Layering (elastic and hemostatic effect) Ring support (kink and collapse prevention) |
Middle | Carotid artery disease Lower-extremity Arterial disease (above knee) Arteriovenous fistula |
Replacement Bypass Patch plasty |
Great saphenous vein Upper-extremity vein |
5–10 mm | ||
Small | Coronary artery disease Lower-extremity Arterial disease (below knee) |
Bypass | Intra thoracic artery Great saphenous vein Radial artery Gastroepiploic Artery |
Not available |
Variety of synthetic grafts are available for mid to large vascular repair and the smallest diameter of a commercialized graft for revascularization is 5 mm. In contrast, autologous grafts are the only option for small caliber vascular repair. *References indicate the first reports in human use.